Impact Community Medicine PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

IMPACT COMMUNITY MEDICINE PA

Practice address

2929 Arch St Ste 1700
Philadelphia, PA 19104-7327

Phone

(610) 628-2004

NPI assigned

Jul 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Tunning, LCSWNPI 1306362371

Title

VP of Clinical Operations

Phone

(610) 628-2004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shreya Kangovi, MD

  • Hospitalist Physician
  • Philadelphia, PA
  • NPI 1295891760
  Medicare reassignment NPD
• Jennifer Tunning

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1306362371

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1396636023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S 15TH ST STE 1550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024806",
            "telephone_number": "610-628-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 ARCH ST STE 1700",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191047327",
            "telephone_number": "610-628-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT COMMUNITY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "TUNNING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "610-628-2004",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immediate Home Care LLC
• Immediate Home Care LLC (Immediate Homecare and Hospice)
• Immediate Homecare & Hospice
• Immense Providers Home Care LLC
• Phyllis Ann Immitti, DMD
• Impax Solutions Incorporated
• Impeccable Home Care Inc
• David Imperatore
• Imperial Aide Home Care LLC
• Imperial Beloved Souls Home Care LLC

• Primary Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.